So w’abusua oduruyɛfo anaa wo oduruyɛfo a ɔhwɛ wo titiriw no aka akyerɛ wo sɛ kɔ asaabo ho ɔbenfo bi nkyɛn? Ebia na ehu aka wo kakra, na wususuwii sɛ, "So biribi asɛe kɛse wɔ m'asaabo ho?" Nanso ɛho nhia ankasa sɛ wusuro. Woaba baabi a ɛfata. Nnuruyɛfo yi ne asaabo mu yare ho abenfo. Enti ɛnnɛ, momma yɛnka onii ko a asaabo ho ɔbenfo, anaa nephrologist, yɛ, nea wɔyɛ, ne nea ɛsɛ sɛ wuhu bere a worekɔhwɛ bi no ho asɛm.
Hena ne saa asaabo ho ɔbenfo (Nephrologist) yi?
Sɛ yɛbɛka no tiawa a, Nephrologist yɛ oduruyɛfo a ne ho akokwaw wɔ yɛn asaabo ne yare biara a ɛka asaabo ho. Yɛsan frɛ wɔn "asaabo ho nnuruyɛfo." Bere a wɔabɛyɛ oduruyɛfo a ɔhwɛ ayarefo nyinaa (MBBS) akyi no, wɔde mfe abien anaa nea ɛboro saa sua asaabo mu nyarewa ho ade pɔtee.
Sɛ w’abusua oduruyɛfo no wɔ w’asaabo dwumadi ho haw bi, sɛ nhwɛso no, sɛ wo mogya mu nhwehwɛmu kyerɛ sɛ creatinine dodow akɔ soro kakra a, ɔde wo bɛkɔ asaabo ho oduruyɛfo nkyɛn. Afei saa oduruyɛfo titiriw yi behu nea ɛde wo haw no ba na wayɛ ayaresa nhyehyɛe a ɔde bedi so, asiw ano sɛ ɛnsɛe, anaasɛ ɔbɛsa.
Tebea atitiriw a Nephrologist sa
Nephrologist de n’adwene si ɔhaw ahorow a ɛfa asaabo ho so. Ma yɛnhwɛ emu kakraa bi.
| Aduruyɛ mu tebea | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Asaabo mu Yare | Eyi yɛ tebea a bere kɔ so no, ɛsɛe asaabo no nkakrankakra. Ebia yare no ho sɛnkyerɛnne atitiriw biara nni hɔ wɔ mfiase no. Nanso, sɛ wohu ntɛm a, nnuru ne asetra mu nsakrae betumi aboa ma wɔasiw ɔsɛe foforo ano. |
| Asaabo a Ɛnyɛ Den | Eyi ne asaabo mu yare no fã a etwa to. Ɛha yi, oduruyɛfo no bɛkamfo akyerɛ sɛ wɔnyɛ dialyse.- kyere se se wode afiri behohoro mogya no ho - se wokamfo a, obehw saa ayaresa no so koraa. Ebia ɔbɛhyɛ nyansa nso sɛ wɔmfa asaabo nsi ananmu . |
| Mogya Nhyɛso a Ɛkɔ Anim | Sɛ wowɔ mogya mmoroso a ɛyɛ den sɛ wubedi so a, nephrologist betumi aboa wo. Ɛtɔ mmere bi a asaabo mu haw nso betumi ama ayɛ den sɛ wobedi mogya mmoroso so. |
| Asaabo a kokoram asɛe no | Kokoram ahorow bi anaa wɔn ayaresa betumi asɛe asaabo no. Sɛ nhwɛso no, tebea horow te sɛ multiple myeloma, akisikuru, awotwaa mu kokoram, ne akyi berɛmo mu kokoram. |
| Nephrotic Syndrome a Ɛyɛ Adwene a Ɛyɛ Fɛ | Eyi ma protein pii fi nsu mu. Eyi betumi ama nipadua no afã horow ahonhon, titiriw wɔ aniwa ne anan ho. |
| Polycystic Asaabo Yare | Eyi ne bere a asaabo a nsu ahyɛ mu ma no ba wɔ asaabo no mu. Sɛ eyinom yɛ akɛse a, ebetumi asɛe asaabo no na ama atumi asɛe mpo. |
Nneɛma a ɛsɛ sɛ wode ba bere a wokɔ oduruyɛfo nkyɛn nea edi kan no
Sɛ wudi kan siesie wo ho kakra bere a wokɔ oduruyɛfo nkyɛn a, ɛbɛyɛ mmerɛw kɛse ama wo ne oduruyɛfo no nyinaa. Nneɛma bi a ɛsɛ sɛ wokae na wode kɔ ni.
| Nea ɛsɛ sɛ wode ba | Dɛn nti na ɛte saa? (Nea ɛho hia) . |
|---|---|
| Wo sɛnkyerɛnne ahorowNa wɔakyerɛw bere tenten a wɔde atra hɔ. | Eyi ma ɛyɛ mmerɛw ma oduruyɛfo no sɛ obehu wo tebea no ho mfonini pefee. |
| Nnuru a worenom mprempren nyinaa a wɔahyehyɛ (a nea wɔde ma tebea afoforo ka ho). | Nnuru bi betumi aka asaabo no, enti saa nsɛm yi ho hia paa. |
| W’aduruyɛ ho abakɔsɛm ne w’aduruyɛ ho kyerɛwtohɔ a woadi kan ayɛ , titiriw mogya, nsu ho amanneɛbɔ, ne yafunu mu nhwehwɛmu ho amanneɛbɔ. | Eyi boa ma wɔde toto kyerɛwtohɔ dedaw ho na wɔkwati sɛ wɔbɛsan asɔ ahwɛ bio a ɛho nhia. |
| Nnuruyɛfo afoforo a worenom nnuru mprempren no din ne wɔn ho nsɛm. | Wei bɛboa wo ne wɔn akasa na sɛ ɛho hia a, woanya nsɛm. |
Nhwehwɛmu bɛn na oduruyɛfo no bɛyɛ?
Sɛ wo ne wo duruyɛfo susuw wo yare no ho sɛnkyerɛnne ne wo abakɔsɛm ho wie a, ɔbɛhwɛ wo. Nea ɛka ho no, wobetumi ahyɛ sɛ wɔnyɛ nhwehwɛmu pii na aboa ma wɔahu nea ɛde ba ankasa, te sɛ:
- Nsuo mu nhwehwɛmu: Wɔbɛka akyerɛ wo sɛ boaboa nsuo kakraa bi ano wɔ kuruwa mu. Ɛtɔ da bi nso a wobetumi aka akyerɛ wo sɛ fa nnɔnhwerew 24 nsu a wɔde yɛ adwuma. Lab no bɛsɔ nsu no ahwɛ sɛ ebia nneɛma te sɛ nneɛma a wɔsɛe no, protein, hormone, ne minerals anaa. Wɔbɛhwɛ nsuo no nso sɛ mogya anaa ɔyareɛ ho sɛnkyerɛnne bi wɔ hɔ anaa.
- Ultrasound scan: Eyi de nnyigyei asorɔkye di dwuma de twa w’asaabo mfonini. Eyi betumi aboa wo ma woahu sɛnea w’asaabo kɛse ne sɛnea ɛte, ne sɛ ebia abo anaa akisikuru bi wɔ hɔ anaa. Ɛnyɛ yaw.
- CT scan: Eyi yɛ X-ray mfonini ahorow a ɛtoatoa so. Eyi ma wonya asaabo no ho mfonini a emu da hɔ, a ɛwɔ afã abiɛsa (3D).
- Biopsy: Eyi hwehwɛ sɛ wɔde ade a wɔde yi ntini ketewaa bi fi asaabo no mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu. Eyi betumi aboa ma wɔahu yare ko a asɛe asaabo no ankasa.
Nea ɛho hia sen biara ne sɛ, sɛ oduruyɛfo no kamfo kyerɛ sɛ wɔnyɛ nhwehwɛmu a, bisa nea enti ne nea wobɛhwɛ kwan afi mu.
Nsɛmmisa a ɛsɛ sɛ wubisa wo nephrologist
Sɛ wokɔ wo duruyɛfo nkyɛn a, ntwentwɛn wo nan ase sɛ wubebisa nsɛm biara a wowɔ. Dodow a wunim wo yare no ho asɛm no, dodow no ara na wo ho bɛtɔ wo. Nsɛmmisa bi a wubetumi abisa ni:
- Dɛn nti na me duruyɛfo somaa me kɔɔ wo nkyɛn?
- Dɛn nti na m’asaabo dwumadi so retew?
- Sɛ wɔde toto asaabo a ɛte apɔw ho a, sɛnea m’asaabo yɛ adwuma te dɛn?
- So mewɔ asaabo mu yare? Sɛ saa a, fã bɛn na ɛwɔ mu? Dɛn na ɛno kyerɛ?
- Ayaresa ahorow bɛn na mewɔ?
- Dɛn ne saa ayaresa ahorow no mu biara mu nsunsuanso bɔne?
- Sɛ mifi ase sa yare wie a, afotu bɛn na ɛbɛboa me ma makɔ so ayɛ no yiye?
- So ɛsɛ sɛ meyɛ nsakrae wɔ m’asetra kwan mu (te sɛ aduan a midi, apɔw-mu-teɛteɛ)?
- Sɛ mewɔ ɔhaw anaa sɛnkyerɛnne foforo bi a, ɛsɛ sɛ mefrɛ wo?
Kyerɛw nsɛmmisa yi ho mmuae, anaa bisa obi a wo ne no retu kwan sɛ ɔnkyerɛw. Saa kwan no so no, ɛbɛyɛ mmerɛw sɛ wobɛkae akyiri yi.
Nkrasɛm a Wɔde Kɔ Fie
- Nephrologist yɛ oduruyɛfo a ne ho akokwaw wɔ asaabo mu nyarewa ho. Sɛ wo daa oduruyɛfo no de wo akɔ a, mma ɛnhaw wo, wowɔ nsa a ahobammɔ wom mu.
- Sɛ wokɔ oduruyɛfo nkyɛn a, fa wo yare no ho sɛnkyerɛnne, nnuru a worenom, ne amanneɛbɔ a woadi kan de ama nyinaa bra nnidiso nnidiso.
- Mma ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo nsɛm biara a wowɔ, ɛmfa ho sɛnea ɛyɛ ketewaa no. Ɛho hia sɛ wunya wo tebea no ho nsɛm yiye.
- Di wo duruyɛfo ayaresa nhyehyɛe ne asetra mu nsakrae (aduan, apɔw-mu-teɛteɛ) akyi yiye. Eyi bɛboa ma woadi sɛnea w’asaabo asɛe no so.
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